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No one has perfectly symmetrical eyes. Often one eyelid lies a bit lower than the other or has some mark like a freckle that makes it appear different. That’s normal and nothing to be concerned about. However, there are eyelid issues that can impair vision and cause ocular problems that need to be checked out by a doctor and potentially repaired through surgery. Our team at Oregon Eye Specialists can examine your eye, offer a diagnosis, and repair the problem  for any of the following issues:

Ptosis | Droopy Upper Eyelids

Some people have naturally drooping eyelids, a condition called ptosis. This drooping may hardly be noticeable, or it may be so severe that the eyelids begin to obstruct a person’s vision becoming inconvenient and uncomfortable.

The condition does not usually go away on its own and requires treatment by an eye surgeon to restore the eyelids to their normal position.

Eyelid Malposition | Entropion | Ectropion

Eyelid malposition is the abnormal positioning of the eyelids. The disorder is relatively common in aging patients but is something that should and can be repaired through surgery. A surgeon can reposition or anatomically and functionally reconstruct the eyelid.

There are two types of eyelid malposition:

  • Entropion is the inward turning of the eyelid, causing the eyelashes to brush against the cornea. Patients complain of eye pain, excessive tearing, redness, and irritation caused from the rubbing lashes. Left untreated, entropion could lead to permanent damage to the cornea and some vision loss.
  • Ectropion is the outward turning of the lower eyelid. As the lid sags away, the eye is exposed, and patients experience dryness and excessive tearing.

Eyelid Lesions and Skin Cancer

According to the American Cancer Association, skin cancer in America is considered a growing epidemic. Excessive sun exposure is the main culprit, but skin tone, genetics, smoking, and age are also contributors.

Any new eyelid lesion should be examined by a doctor.  While they are often benign, there are several types of skin cancers that appear around the eyelids and a lesion could be a first sign. An ophthalmologist can provide an accurate diagnosis based on a patient’s history and a clinical examination and be able to diagnose with a visual screening, but sometimes a biopsy may be required.

Unblocking Tear Ducts

A doctor will analyze your symptoms and irrigate the affected duct to determine the degree of blockage. A warm compress and antibiotics may temporarily alleviate some of your symptoms however surgical intervention is typically the most effective permanent treatment. One of the most common surgical solutions is a dacryocystorhinostomy (DCR). This procedure can be done externally or endoscopically without a need for a skin incision, thus avoiding the formation of a visible scar. Your doctor will create a new passageway and temporarily insert a Crawford tube to facilitate the flow of tears from the eyes to the nose. The Crawford tube will be removed in the office approximately 3 months after your surgery.

Functional Eyelid Surgery | OES

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